Complete the following form to reserve

for Limousine or SIGHTSEEING TOUR :

DATE : (MM/DD/YY)
Location of pick-up : City :
Name of passenger : number of persons :
Limousine service :
full day (9hours)
half day
evening
Sightseeing tour :
full day tour
half day tour
Provence tour
Sightseeing tour number choosen :
Pick-up time :
or itinerary choosen :

for AIRPORT TRANSFER SERVICE :

Name of passenger :
for Arrival transfer :
DATE : (MM/DD/YY)
Pick-up time :
arriving flight number
airport name
arriving from number of persons :
(max.8)
if you wish the pick-up to be from another place than the airport, please specify :
Your requested destination / address :
for Departure transfer :
DATE : (MM/DD/YY)
Pick-up time :
departing flight number
destination of flight
Address of location of pick-up :
City : number of persons
(max. 8)
departing from :

COACH RENTAL

In order to receive a confirmation of your booking, please,
give us your full e-mail address : Your home address :
Your phone number : country code number
Autres informations utiles :

Billing Informations :

Total amount value of my reservation : €

I wish only to guarantee my booking with my following credit card and I will then pay directly the requested service to the driver by credit card or cash
I wish to pay for above requested services with my following credit card
(you will receive by mail a confirmation of your booking with an authorization form to be completed and sent back by mail or fax to Executive Transport Service)

Cardholder Name :
Credit Card Type :
VISAAmerican ExpressMastercardCard Number : Exp : (MM/YY)
I communicate therefore the security code :
(front left for Amexco credit card, or last 3 digit numbers on back for Visa card and Mastercard)

I acknowledge that I have authorized the above charges and that I have reviewed payment and cancellation policies applicable to my reservation.
Cancellation policies :
50pct of the total value will be charged if cancelled within 5 days prior rental day,
100pct of total value will be charged if cancelled within 24hours or if no-show
Important notice: Your booking will be guaranteed if all details of the billing informations have been
duly completed (total amount value, credit card type and number, exp.date and card holder name